Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1780637645 · SAN JOSE, CA 95127 · Community Health Clinic/Center · NPI assigned 05/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$4.82M
Total Medicaid Paid
110,663
Total Claims
104,706
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE SAN MATEO CA $5.54M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $5.36M
PLANNED PARENTHOOD MAR MONTE, INC WATSONVILLE CA $5.32M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,492 $1.18M
2019 14,629 $542K
2020 10,609 $423K
2021 14,782 $754K
2022 13,431 $571K
2023 17,943 $812K
2024 15,777 $544K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 670 670 $611K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,986 5,779 $498K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,121 6,968 $476K
J3490 Unclassified drugs 12,128 10,478 $452K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,776 11,573 $423K
S4993 Contraceptive pills for birth control 5,029 5,014 $421K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,095 3,030 $401K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,502 2,491 $294K
99201 1,869 1,848 $162K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 752 746 $158K
J7304 Contraceptive supply, hormone containing patch, each 222 222 $158K
11981 709 709 $154K
87806 6,632 5,741 $123K
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 469 466 $97K
58300 721 364 $59K
11976 890 451 $49K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,017 2,005 $47K
A4267 Contraceptive supply, condom, male, each 5,621 5,597 $39K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,906 1,906 $24K
81025 10,567 10,411 $24K
S5000 Prescription drug, generic 2,998 2,726 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 98 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 738 720 $17K
J7300 Intrauterine copper contraceptive (paragard) 25 25 $15K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 4,966 4,866 $14K
83986 6,075 5,267 $13K
S0190 Mifepristone, oral, 200 mg 356 354 $11K
99000 4,246 4,180 $10K
58301 382 198 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,223 3,170 $6K
Q3014 Telehealth originating site facility fee 136 136 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 758 708 $2K
81002 1,432 1,405 $2K
J8499 Prescription drug, oral, non chemotherapeutic, nos 206 140 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 160 159 $2K
11982 51 26 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,160 3,109 $738.22
S0191 Misoprostol, oral, 200 mcg 475 468 $646.82
J0696 Injection, ceftriaxone sodium, per 250 mg 81 77 $317.44
T1014 Telehealth transmission, per minute, professional services bill separately 133 133 $315.00
99401 12 12 $228.84
85018 268 260 $181.26